Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.58 / $10,061.00 / $20,509.00	Facility		$1,889.58	$10,061.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,150.98 / $2,581.17	Professional		$1,433.73	$2,150.98	$2,581.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,945.92 / $2,538.91 / $4,567.41	Professional		$1,945.92	$2,538.91	$4,567.41
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,045.52 / $27,825.60	Facility		$55.00	$23,045.52	$27,825.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $396.35 / $934.18 / $973.13	Facility	AS	$396.35	$934.18	$973.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,048.69 / $2,541.80 / $3,509.19	Facility		$2,048.69	$2,541.80	$3,509.19
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $769.21 / $769.21 / $769.21	Facility	80	$769.21	$769.21	$769.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $653.83 / $653.83 / $653.83	Facility	AS	$653.83	$653.83	$653.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00